Proposed Rules
The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled. Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.
| Proposed Rule | Summary | Fiscal Note(s) | Link to Missouri Register /Supporting Documents |
Small Business Impact Statement |
Division |
|---|---|---|---|---|---|
PROPOSED AMENDMENT 20 CSR 2150-5.025Administration of Vaccines [Per Protocol] |
This proposed amendment implements 2023 legislative revisions to section 338.010, RSMo, and establishes pharmacist immunization procedures under revised section 338.010.1(4), RSMo. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. |
September 15, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration – Healing Arts |
EMERGENCY AMENDMENT 20 CSR 2150-5.025Administration of Vaccines [Per Protocol] |
This emergency amendment implements 2023 legislative revisions to section 338.010, RSMo, and establishes pharmacist immunization procedures under revised section 338.010.1(4), RSMo. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the time the emergency is effective. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the time the emergency is effective. |
September 15, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration – Healing Arts |
PROPOSED AMENDMENT 20 CSR 2220-6.050Administration of Vaccines [Per Protocol] |
This proposed amendment implements 2023 legislative revisions to section 338.010, RSMo, and establishes pharmacist immunization procedures under revised section 338.010.1(4), RSMo. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. |
September 15, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration – Pharmacy |
EMERGENCY AMENDMENT 20 CSR 2220-6.050Administration of Vaccines [Per Protocol] |
This emergency amendment implements 2023 legislative revisions to section 338.010, RSMo, and establishes pharmacist immunization procedures under revised section 338.010.1(4), RSMo. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the time the emergency is effective. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the time the emergency is effective. |
September 15, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration – Pharmacy |
PROPOSED AMENDMENT 20 CSR 2263-2.050Application for Licensure as a Social Worker |
This amendment updates language on when applicants may take the exam. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. |
August 1, 2023 | This proposed rule does not have an adverse impact on small businesses. |
Professional Registration - Social Workers |
PROPOSED AMENDMENT 20 CSR 2263-2.082Continuing Education |
This amendment clarifies documentation requirements for self-study. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. |
August 1, 2023 | This proposed rule does not have an adverse impact on small businesses. |
Professional Registration - Social Workers |
PROPOSED AMENDMENT 20 CSR 2263-2.030Supervised Licensed Social Work Experience |
This amendment clarifies group supervision. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. |
August 1, 2023 | This proposed rule does not have an adverse impact on small businesses. |
Professional Registration - Social Workers |
PROPOSED RULE 20 CSR 2231-3.030Community-Based Faculty Preceptor Tax Credit |
This rule provides an income tax credit for qualified community-based faculty preceptors for physicians and physician assistants. This rule explains the Department of Health and Senior Services’ Preceptor Tax Credit eligibility and how the qualifying individual may claim the credit. | PUBLIC COST: This proposed rule is estimated to cost state agencies or political subdivisions at least two hundred sixteen thousand, one hundred twenty-five dollars ($216,125) in the first year period and two hundred twenty-seven thousand eight hundred eighty-two dollars ($227,882) to two hundred twenty-eight thousand one hundred twenty-four dollars ($228,124) annually thereafter. PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate. |
July 17, 2023 | This proposed rule does not have an adverse impact on small businesses. |
Professional Registration |
PROPOSED RESCISSION 20 CSR 2010-2.140Granting of Credit for the Examination |
This rule clarified the requirements for granting credit for the examination. | PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate. |
July 3, 2023 | This proposed rescission does not have an adverse impact on small businesses. |
Professional Registration – Accountancy |
PROPOSED RULE 20 CSR 2010-2.140Granting of Credit for the Examination |
This rule clarifies the requirements for granting credit for the Uniform Certified Public Accountant (CPA) Examination. | PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate. |
July 3, 2023 | This proposed rule does not have an adverse impact on small businesses. |
Professional Registration – Accountancy |
PROPOSED AMENDMENT 20 CSR 2235-1.020Fees |
The rule is being amended to add a restoration of license fee and the word fee is being removed from each of the items listed due to redundancy. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than $500 in the aggregate. PRIVATE COST: This proposed amendment will save private entities approximately three hundred dollars ($300) to four hundred fifty dollars ($450) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee. |
May 1, 2023 | This proposed rule does have an adverse impact on small businesses. |
Professional Registration – Psychologists |
PROPOSED AMENDMENT 20 CSR 2235-1.050Renewal or Restoration of a License |
This amendment outlines the requirements for restoration of a license that has been expired for (2) years or more. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than $500 in the aggregate. PRIVATE COST: This proposed amendment would not cost private entities more than $500 in the aggregate. |
May 1, 2023 | This proposed rule does not have an adverse impact on small businesses. |
Professional Registration – Psychologists |
PROPOSED AMENDMENT 20 CSR 2245-6.017AQB 2018 Licensure Criteria |
This amendment clarifies education requirements. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. |
May 1, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration – Appraisers |
PROPOSED AMENDMENT 20 CSR 2200-2.010Approval |
This amendment changes the submission deadlines. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate. |
May 1, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration - Nursing |
PROPOSED AMENDMENT 20 CSR 2200-3.010Approval |
This amendment changes the submission deadlines. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate. |
May 1, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration - Nursing |
PROPOSED AMENDMENT 20 CSR 2200-8.010Approval |
This amendment changes the submission deadlines. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate. |
May 1, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration - Nursing |
PROPOSED AMENDMENT 20 CSR 2200-6.030Intravenous Infusion Treatment Administration by Qualified Practical Nurses; Supervision by a Registered Professional Nurse |
This amendment clarifies the duties of licensed practical nurses related to intravenous (IV) therapy. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate. |
May 1, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration - Nursing |
PROPOSED AMENDMENT 20 CSR 2200-6.040Venous Access and Intravenous Infusion Treatment Modalities Course Requirements |
This amendment clarifies intravenous (IV) treatment modalities course requirements. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate. |
May 1, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration - Nursing |
PROPOSED AMENDMENT 20 CSR 2200-6.060Requirements for Intravenous Therapy Administration Certification |
This amendment clarifies requirements for intravenous (IV) therapy. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate. |
May 1, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration - Nursing |
PROPOSED AMENDMENT 20 CSR 2220-2.400Compounding Standards of Practice |
This amendment updates rule language to reference compounded preparations, defines a commercially available product for purposes of compounding, and clarifies requirements for bulk drug substances for use in compounding human preparations. | PUBLIC COST: This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. |
April 17, 2023 | This proposed amendment does not have an adverse impact on small businesses. |
Professional Registration - Pharmacy |
PROPOSED RULE 20 CSR 2220-2.410Class B Hospital Pharmacy Compounding for Drug Shortages |
This rule establishes requirements for Class B hospital pharmacies compounding medication in the event of a drug shortage. | PUBLIC COST: This proposed rule will not cost state agencies more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate. |
April 17, 2023 | This proposed rule does not have an adverse impact on small businesses. |
Professional Registration - Pharmacy |
PROPOSED AMENDMENT 20 CSR 500-1.100 |
The Director is amending this rule by adding two new subdivisions to subsection (3) (A) and by adding additional language to Exhibit A. The purpose of this amendment is to provide contact information to insureds who receive a notice of cancellation, nonrenewal, reduction in amount or adverse modification. |
PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. |
March 1, 2023 Register | This proposed amendment does not have an adverse impact on small business. | Insurance |